+QS

(más que salud)

Colabora con nosotros


Friends of +QS

Inscription form
First name Surname
DNI / NIF Date of birth (dd/mm/yyyy)
E-mail Address
Province City
Phone Mobile / cell phone
Do you attend any church? If so, which?
I would like to volunteer my skills in the following area/s:
Patient accommodation Patient visiting
Patient transport Availability to travel
Administrative tasks Fund-raising
Another (please specify)
Occupation:
Medicine Computing
Nursing Social work
Education Law
Administration Arquitecture / building
Another (please specify)
Time commitment:
Mornings Evenings
Weekends Occasional
Another (please specify)
Membership donation:
Monthly Three-monthly
Twice-yearly Yearly
  Bank  Branch  DC  Number 
A/C number:         
These data have been given voluntarily by the user. Their purpose is to provide effective information about our services to the person in question. As stipulated by the Ley Orgánica (General Law) 15/1999 of 13th December, on Personal Data Protection, all data of a personal nature, given with the consent of the party concerned, will form part of the computer data files of “Más que Salud” (+QS) and will be kept as strictly confidential and protected data. These data will under no circumstances be used for ends other than those cited, nor will they be given to third parties without the consent of the user. With respect to these same data, the party concerned enjoys full rights of access to those concerning him/her, as well as to their rectification or cancelation, as established in the relevant Law . To exercise this right, the individual concerned should contact the organization by e-mail at contacto@masquesalud.org.

















contacto@masquesalud.org (8/9/2010)